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Influence of biological fluids in bacterial viability on different hospital surfaces and fomites
Deigilam C Esteves1, Valeria C Pereira2, Joyce M Souza1
1Master's Program in Environment and Regional Development, University of Western São Paulo, Presidente Prudente, SP, Brazil.
Background:
The hospital environment is susceptible to bacterial contamination along with survival in fomites and surfaces, allowing dissemination of potential pathogenic strains. The present research aimed to evaluate the influence of biological fluids in bacterial viability on fomites and surfaces commonly present in nosocomial environment.
Methods:
Four different fomites and surfaces (ceramic floor, cotton fabric fragments and synthetic fibers, and eggcrate foam mattress) were contaminated with potential pathogens (Staphylococcus aureus, Escherichia coli, Enterococcus faecalis, Pseudomonas aeruginosa, and Klebsiella pneumoniae), then submitted to influence of biological fluids (blood, urine, artificial saliva). The viability of strains was evaluated at 24 hours after contamination and then in intervals of 7 days, by the colony-forming unit count technique.
Results:
S aureus presented viability (>70 days) in all conditions tested, E faecalis and K pneumoniae had decreased viability over time, and E coli did not exhibit a growth relationship with surfaces or fluids. Persistence and adaptability capacity of potential pathogens in fomites and surfaces exposed to the patient are important for guidance, planning, and outlining of protocols for microorganism dissemination control and prevention in the health care environment.
Insights
Bacterial pathogens can survive on hospital fomites and surfaces, influenced by biological fluids. Staphylococcus aureus showed remarkable persistence, highlighting risks in healthcare settings.
Area of Science:
- Microbiology
- Infection Control
- Environmental Hygiene
Background:
- Hospital environments are prone to bacterial contamination on surfaces and fomites.
- This contamination facilitates the spread of pathogenic bacteria.
- Understanding bacterial survival in these settings is crucial for infection control.
Purpose of the Study:
- To assess how biological fluids affect bacterial viability on common hospital fomites and surfaces.
- To identify which bacteria persist longest in a healthcare environment.
Main Methods:
- Four fomites/surfaces (ceramic floor, cotton, synthetic fibers, foam mattress) were inoculated with five pathogens (Staphylococcus aureus, Escherichia coli, Enterococcus faecalis, Pseudomonas aeruginosa, Klebsiella pneumoniae).
- Inoculated surfaces were exposed to biological fluids (blood, urine, artificial saliva).
- Bacterial viability was quantified using colony-forming unit counts at 24 hours and subsequent 7-day intervals.
Main Results:
- Staphylococcus aureus demonstrated significant viability, persisting over 70 days across all tested conditions.
- Enterococcus faecalis and Klebsiella pneumoniae showed reduced viability over time.
- Escherichia coli did not display a clear growth correlation with surfaces or fluids.
Conclusions:
- The persistence and adaptability of pathogens on patient-exposed fomites and surfaces are critical factors in healthcare-associated infections.
- Findings inform the development of effective protocols for controlling and preventing microorganism dissemination in hospitals.
- Robust infection control strategies are necessary to mitigate risks posed by resilient bacterial strains.
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